中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
10期
1343-1344
,共2页
感染性肠炎%铜绿假单胞菌%临床特点%门诊
感染性腸炎%銅綠假單胞菌%臨床特點%門診
감염성장염%동록가단포균%림상특점%문진
Infectious enteritis%Pseudomonas aeruginosa%Clinical features
目的：分析门诊急性感染性肠炎患者铜绿假单胞菌的检出结果及临床特点。方法：回顾性分析2011年4月～2013年10月从首都医科大学宣武医院和北京市垂杨柳医院肠道门诊急性肠炎患者中，随机抽样的1311例患者的临床资料。结果：1311例患者中检出病原菌的阳性率为30.4%(399/1311)，其中42例(3.2%)标本有两种细菌感染，2例(0.1%)标本培养出三种细菌。铜绿假单胞菌检出36例，占所有病原菌数的8.1%(36/444)。36例患者就诊前均未使用抗生素和益生菌。除3例患者既往有糖尿病或冠心病外，其他均无基础疾病。患者发病后2～72小时就诊，临床诊断细菌性痢疾6例，感染性肠炎8例，其他22例。1/3的患者除腹泻外，没有任何其他临床症状。5例(13.9%)患者有低热，17例(47.2%)患者有腹痛，17例(47.2%)患者为水样便，15例(41.7%)患者伴呕吐。24例(61.7%)患者血白细胞正常，26例(72.2%)患者大便中无红白细胞。结论：门诊检出的铜绿假单胞菌肠炎患者多无基础疾病，无抗生素使用史，临床症状轻，绝大部分患者无发热，血白细胞不高。
目的：分析門診急性感染性腸炎患者銅綠假單胞菌的檢齣結果及臨床特點。方法：迴顧性分析2011年4月～2013年10月從首都醫科大學宣武醫院和北京市垂楊柳醫院腸道門診急性腸炎患者中，隨機抽樣的1311例患者的臨床資料。結果：1311例患者中檢齣病原菌的暘性率為30.4%(399/1311)，其中42例(3.2%)標本有兩種細菌感染，2例(0.1%)標本培養齣三種細菌。銅綠假單胞菌檢齣36例，佔所有病原菌數的8.1%(36/444)。36例患者就診前均未使用抗生素和益生菌。除3例患者既往有糖尿病或冠心病外，其他均無基礎疾病。患者髮病後2～72小時就診，臨床診斷細菌性痢疾6例，感染性腸炎8例，其他22例。1/3的患者除腹瀉外，沒有任何其他臨床癥狀。5例(13.9%)患者有低熱，17例(47.2%)患者有腹痛，17例(47.2%)患者為水樣便，15例(41.7%)患者伴嘔吐。24例(61.7%)患者血白細胞正常，26例(72.2%)患者大便中無紅白細胞。結論：門診檢齣的銅綠假單胞菌腸炎患者多無基礎疾病，無抗生素使用史，臨床癥狀輕，絕大部分患者無髮熱，血白細胞不高。
목적：분석문진급성감염성장염환자동록가단포균적검출결과급림상특점。방법：회고성분석2011년4월～2013년10월종수도의과대학선무의원화북경시수양류의원장도문진급성장염환자중，수궤추양적1311례환자적림상자료。결과：1311례환자중검출병원균적양성솔위30.4%(399/1311)，기중42례(3.2%)표본유량충세균감염，2례(0.1%)표본배양출삼충세균。동록가단포균검출36례，점소유병원균수적8.1%(36/444)。36례환자취진전균미사용항생소화익생균。제3례환자기왕유당뇨병혹관심병외，기타균무기출질병。환자발병후2～72소시취진，림상진단세균성이질6례，감염성장염8례，기타22례。1/3적환자제복사외，몰유임하기타림상증상。5례(13.9%)환자유저열，17례(47.2%)환자유복통，17례(47.2%)환자위수양편，15례(41.7%)환자반구토。24례(61.7%)환자혈백세포정상，26례(72.2%)환자대편중무홍백세포。결론：문진검출적동록가단포균장염환자다무기출질병，무항생소사용사，림상증상경，절대부분환자무발열，혈백세포불고。
Objective: To analyze the clinical characteristics and results of P.aeruginosa enteritis in outpatients with acute infectious enteritis.Methods:A retrospective study was performed on 1311 randomly selected patients with acute infectious enteritis seen at the Enteric Disease Clinic of Xuanwu Hospital of the Capital University of Medical Sciences and Beijing Chuiyangliu Hospital from April 2011 to December 2013.Results:Of the 1311 cases,399 cases(30.4%) were positive for pathogens including 42 cases (3.2%) with 2 pathogens and 2 case (0.1%) with 3 pathogens. P.aeruginosa were isolated in 36 cases,accounting for 8.1% of all pathogens identified.All the patients infected with P.aeruginosa had not used any antibiotics and probiotics before coming to the clinic,and all had no co-existing diseases except for 3 with diabetes or coronary heart disease.They came within 2 to 72 hours after onset of diarrhea;6 cases were at first diagnosed as bacillary dysentery,8 cases as infectious enteritis,22 cases as other diseases.About 1/3 of the patients had only diarrhea.5(13.9%)of the patients had mild fever,17(47.2%) had abdominal pain,17(47.2%) had watery stools,15(41.7%) had vomiting.WBC was normal in 24(61.7%).No cells were found in 26(72.2%) of the stool specimens.Conclusion:Most of our diarrhea patients infected by P.aeruginosa had no co-existing diseases and all had not used any antibiotics or probiotics before coming to our clinics.Their clinical symptoms were mild,and most had no fever,or blood leucocytosis.
